Individual
JENNIFER WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
5230 EAGLE CAY PLACE, COCONUT CREEK, FL 33073
(954) 323-9751
Mailing address
5230 EAGLE CAY PLACE, COCONUT CREEK, FL 33073
(954) 323-9751
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA56992
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA56992
STATE LIC
FL
Enumeration date
05/28/2010
Last updated
05/28/2010
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